| NPI | 1114932753 |
|---|---|
| Doing Business As | PARK PLACE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | MONIQUE NICHOLSON CEO 817-924-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: TX 23988) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2017-01-13 |